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Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study
Purpose The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients. Methods Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwen...
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| Published in: | Supportive care in cancer 2013-03, Vol.21 (3), p.707-714 |
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| Main Authors: | , , , , , , , |
| Format: | Article |
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| cites | cdi_FETCH-LOGICAL-c505t-4172078af8bff9be277226767fac7f13cb0160d0aa115a769b67d163b8d556593 |
| container_end_page | 714 |
| container_issue | 3 |
| container_start_page | 707 |
| container_title | Supportive care in cancer |
| container_volume | 21 |
| creator | Cao, Shouqiang Zhao, Guibin Cui, Jian Dong, Qing Qi, Sihua Xin, Yanzhong Shen, Baozhong Guo, Qingfeng |
| description | Purpose
The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients.
Methods
Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwent conventional care after esophagectomy. Fast-track rehabilitation program was performed to patients who have early movement, epidural analgesia control, fluid infusion volume control and enteral nutrition for early discharge. The other 57 patients underwent conventional care after esophagectomy. The average of hospital stay and complications were calculated in the patients between the two groups.
Results
The median length of hospital stay in the patients was significantly shorter after fast-track rehabilitation program than after conventional care (7.7 vs 14.8 day,
P
|
| doi_str_mv | 10.1007/s00520-012-1570-0 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1283271923</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A336383064</galeid><sourcerecordid>A336383064</sourcerecordid><originalsourceid>FETCH-LOGICAL-c505t-4172078af8bff9be277226767fac7f13cb0160d0aa115a769b67d163b8d556593</originalsourceid><addsrcrecordid>eNp1kU9v1DAQxS0EokvhA3BBkbj0kjK24zjhVlUUkCpxac_WJBnvuiTxYjuV9tvjdMtfgXywPf69J888xl5zOOcA-l0EUAJK4KLkSufDE7bhlZSllrJ9yjbQVryspFIn7EWMdwBcayWesxMhWim5aDcsXWFMZQrYfy0C7bBzo0uYnJ-LffDbgFOB81D0fr6neS3jWPQYqECbKBQU_X6HW-qTnw7vC8weKfi4zwV3T6ssX8eRVoedD6mIaRkOL9kzi2OkV4_7Kbu9-nBz-am8_vLx8-XFddkrUKmsuBagG7RNZ23bkdBaiFrX2mKvLZd9B7yGARA5V6jrtqv1wGvZNYNStWrlKTs7-uZWvi0Uk5lc7GkccSa_RMNFI4XmrZAZffsXeueXkLt9oIQCAVX1i9riSMbN1q-TW03NhZS1bCTUK3X-DyqvgSaXR0LW5fofAn4U9Hl2MZA1--AmDAfDwaxJm2PSJidt1qQNZM2bxw8v3UTDT8WPaDMgjkDMT_OWwm8d_df1O-eSsro</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1282502044</pqid></control><display><type>article</type><title>Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study</title><source>Sociology Collection</source><source>Springer Link</source><source>ProQuest Social Science Premium Collection</source><creator>Cao, Shouqiang ; Zhao, Guibin ; Cui, Jian ; Dong, Qing ; Qi, Sihua ; Xin, Yanzhong ; Shen, Baozhong ; Guo, Qingfeng</creator><creatorcontrib>Cao, Shouqiang ; Zhao, Guibin ; Cui, Jian ; Dong, Qing ; Qi, Sihua ; Xin, Yanzhong ; Shen, Baozhong ; Guo, Qingfeng</creatorcontrib><description>Purpose
The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients.
Methods
Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwent conventional care after esophagectomy. Fast-track rehabilitation program was performed to patients who have early movement, epidural analgesia control, fluid infusion volume control and enteral nutrition for early discharge. The other 57 patients underwent conventional care after esophagectomy. The average of hospital stay and complications were calculated in the patients between the two groups.
Results
The median length of hospital stay in the patients was significantly shorter after fast-track rehabilitation program than after conventional care (7.7 vs 14.8 day,
P
< 0.01). The percentage of patients who developed complications was significantly lower 30 day after fast-track rehabilitation program than after conventional care (29.1 vs 47.4 %,
P
< 0.05). 87.3 % in patients of the fast-track rehabilitation program group and 54.4 % in those of the conventional care group reported excellent to very good satisfaction with their pain control (
P
= 0.000).
Conclusions
The fast-track rehabilitation program results in fewer complications, less postoperative pain, a reduction in the hospital length of stay, and quicker return to work and normal activities after esophagectomy.</description><identifier>ISSN: 0941-4355</identifier><identifier>EISSN: 1433-7339</identifier><identifier>DOI: 10.1007/s00520-012-1570-0</identifier><identifier>PMID: 22933129</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Cancer ; Cohort Studies ; Esophageal cancer ; Esophageal Neoplasms - rehabilitation ; Esophageal Neoplasms - surgery ; Esophagectomy - methods ; Esophagus ; Female ; Hospitalization - statistics & numerical data ; Humans ; Length of Stay ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Nursing ; Nursing Research ; Oncology ; Original Article ; Pain Medicine ; Pain, Postoperative - epidemiology ; Patient Satisfaction ; Postoperative Complications - epidemiology ; Postoperative period ; Rehabilitation ; Rehabilitation Medicine ; Retrospective Studies ; Return to Work - statistics & numerical data ; Surgery ; Time Factors</subject><ispartof>Supportive care in cancer, 2013-03, Vol.21 (3), p.707-714</ispartof><rights>Springer-Verlag 2012</rights><rights>COPYRIGHT 2013 Springer</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-4172078af8bff9be277226767fac7f13cb0160d0aa115a769b67d163b8d556593</citedby><cites>FETCH-LOGICAL-c505t-4172078af8bff9be277226767fac7f13cb0160d0aa115a769b67d163b8d556593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1282502044/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1282502044?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21394,21395,27924,27925,33611,33612,34530,34531,43733,44115,74221,74639</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22933129$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cao, Shouqiang</creatorcontrib><creatorcontrib>Zhao, Guibin</creatorcontrib><creatorcontrib>Cui, Jian</creatorcontrib><creatorcontrib>Dong, Qing</creatorcontrib><creatorcontrib>Qi, Sihua</creatorcontrib><creatorcontrib>Xin, Yanzhong</creatorcontrib><creatorcontrib>Shen, Baozhong</creatorcontrib><creatorcontrib>Guo, Qingfeng</creatorcontrib><title>Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study</title><title>Supportive care in cancer</title><addtitle>Support Care Cancer</addtitle><addtitle>Support Care Cancer</addtitle><description>Purpose
The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients.
Methods
Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwent conventional care after esophagectomy. Fast-track rehabilitation program was performed to patients who have early movement, epidural analgesia control, fluid infusion volume control and enteral nutrition for early discharge. The other 57 patients underwent conventional care after esophagectomy. The average of hospital stay and complications were calculated in the patients between the two groups.
Results
The median length of hospital stay in the patients was significantly shorter after fast-track rehabilitation program than after conventional care (7.7 vs 14.8 day,
P
< 0.01). The percentage of patients who developed complications was significantly lower 30 day after fast-track rehabilitation program than after conventional care (29.1 vs 47.4 %,
P
< 0.05). 87.3 % in patients of the fast-track rehabilitation program group and 54.4 % in those of the conventional care group reported excellent to very good satisfaction with their pain control (
P
= 0.000).
Conclusions
The fast-track rehabilitation program results in fewer complications, less postoperative pain, a reduction in the hospital length of stay, and quicker return to work and normal activities after esophagectomy.</description><subject>Cancer</subject><subject>Cohort Studies</subject><subject>Esophageal cancer</subject><subject>Esophageal Neoplasms - rehabilitation</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophagectomy - methods</subject><subject>Esophagus</subject><subject>Female</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Research</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Pain Medicine</subject><subject>Pain, Postoperative - epidemiology</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative period</subject><subject>Rehabilitation</subject><subject>Rehabilitation Medicine</subject><subject>Retrospective Studies</subject><subject>Return to Work - statistics & numerical data</subject><subject>Surgery</subject><subject>Time Factors</subject><issn>0941-4355</issn><issn>1433-7339</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNp1kU9v1DAQxS0EokvhA3BBkbj0kjK24zjhVlUUkCpxac_WJBnvuiTxYjuV9tvjdMtfgXywPf69J888xl5zOOcA-l0EUAJK4KLkSufDE7bhlZSllrJ9yjbQVryspFIn7EWMdwBcayWesxMhWim5aDcsXWFMZQrYfy0C7bBzo0uYnJ-LffDbgFOB81D0fr6neS3jWPQYqECbKBQU_X6HW-qTnw7vC8weKfi4zwV3T6ssX8eRVoedD6mIaRkOL9kzi2OkV4_7Kbu9-nBz-am8_vLx8-XFddkrUKmsuBagG7RNZ23bkdBaiFrX2mKvLZd9B7yGARA5V6jrtqv1wGvZNYNStWrlKTs7-uZWvi0Uk5lc7GkccSa_RMNFI4XmrZAZffsXeueXkLt9oIQCAVX1i9riSMbN1q-TW03NhZS1bCTUK3X-DyqvgSaXR0LW5fofAn4U9Hl2MZA1--AmDAfDwaxJm2PSJidt1qQNZM2bxw8v3UTDT8WPaDMgjkDMT_OWwm8d_df1O-eSsro</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Cao, Shouqiang</creator><creator>Zhao, Guibin</creator><creator>Cui, Jian</creator><creator>Dong, Qing</creator><creator>Qi, Sihua</creator><creator>Xin, Yanzhong</creator><creator>Shen, Baozhong</creator><creator>Guo, Qingfeng</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2R</scope><scope>M2S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study</title><author>Cao, Shouqiang ; Zhao, Guibin ; Cui, Jian ; Dong, Qing ; Qi, Sihua ; Xin, Yanzhong ; Shen, Baozhong ; Guo, Qingfeng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-4172078af8bff9be277226767fac7f13cb0160d0aa115a769b67d163b8d556593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Cancer</topic><topic>Cohort Studies</topic><topic>Esophageal cancer</topic><topic>Esophageal Neoplasms - rehabilitation</topic><topic>Esophageal Neoplasms - surgery</topic><topic>Esophagectomy - methods</topic><topic>Esophagus</topic><topic>Female</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Research</topic><topic>Oncology</topic><topic>Original Article</topic><topic>Pain Medicine</topic><topic>Pain, Postoperative - epidemiology</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative period</topic><topic>Rehabilitation</topic><topic>Rehabilitation Medicine</topic><topic>Retrospective Studies</topic><topic>Return to Work - statistics & numerical data</topic><topic>Surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cao, Shouqiang</creatorcontrib><creatorcontrib>Zhao, Guibin</creatorcontrib><creatorcontrib>Cui, Jian</creatorcontrib><creatorcontrib>Dong, Qing</creatorcontrib><creatorcontrib>Qi, Sihua</creatorcontrib><creatorcontrib>Xin, Yanzhong</creatorcontrib><creatorcontrib>Shen, Baozhong</creatorcontrib><creatorcontrib>Guo, Qingfeng</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>Proquest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Social Science Database (ProQuest)</collection><collection>Sociology Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Supportive care in cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cao, Shouqiang</au><au>Zhao, Guibin</au><au>Cui, Jian</au><au>Dong, Qing</au><au>Qi, Sihua</au><au>Xin, Yanzhong</au><au>Shen, Baozhong</au><au>Guo, Qingfeng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study</atitle><jtitle>Supportive care in cancer</jtitle><stitle>Support Care Cancer</stitle><addtitle>Support Care Cancer</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>21</volume><issue>3</issue><spage>707</spage><epage>714</epage><pages>707-714</pages><issn>0941-4355</issn><eissn>1433-7339</eissn><abstract>Purpose
The purpose of this article is to evaluate fast-track rehabilitation program and conventional care after esophagectomy using a retrospective controlled cohort study in esophageal cancer patients.
Methods
Fifty-five patients underwent fast-track rehabilitation program and 57 patients underwent conventional care after esophagectomy. Fast-track rehabilitation program was performed to patients who have early movement, epidural analgesia control, fluid infusion volume control and enteral nutrition for early discharge. The other 57 patients underwent conventional care after esophagectomy. The average of hospital stay and complications were calculated in the patients between the two groups.
Results
The median length of hospital stay in the patients was significantly shorter after fast-track rehabilitation program than after conventional care (7.7 vs 14.8 day,
P
< 0.01). The percentage of patients who developed complications was significantly lower 30 day after fast-track rehabilitation program than after conventional care (29.1 vs 47.4 %,
P
< 0.05). 87.3 % in patients of the fast-track rehabilitation program group and 54.4 % in those of the conventional care group reported excellent to very good satisfaction with their pain control (
P
= 0.000).
Conclusions
The fast-track rehabilitation program results in fewer complications, less postoperative pain, a reduction in the hospital length of stay, and quicker return to work and normal activities after esophagectomy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22933129</pmid><doi>10.1007/s00520-012-1570-0</doi><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0941-4355 |
| ispartof | Supportive care in cancer, 2013-03, Vol.21 (3), p.707-714 |
| issn | 0941-4355 1433-7339 |
| language | eng |
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| source | Sociology Collection; Springer Link; ProQuest Social Science Premium Collection |
| subjects | Cancer Cohort Studies Esophageal cancer Esophageal Neoplasms - rehabilitation Esophageal Neoplasms - surgery Esophagectomy - methods Esophagus Female Hospitalization - statistics & numerical data Humans Length of Stay Male Medicine Medicine & Public Health Middle Aged Nursing Nursing Research Oncology Original Article Pain Medicine Pain, Postoperative - epidemiology Patient Satisfaction Postoperative Complications - epidemiology Postoperative period Rehabilitation Rehabilitation Medicine Retrospective Studies Return to Work - statistics & numerical data Surgery Time Factors |
| title | Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study |
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